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March 3, 2026· Scientific Reports
article
Open access

Autonomous nursing professional development framework using blockchain technology

Authors:Chia-Chen Lin *Yen-Heng LinI.-Chieh Hsu

Abstract

This study presents a blockchain-based enabling autonomous nursing professional development framework, known as BCeANPDF. The framework aims to enhance transparency, security, and professional autonomy in nursing credential management. It is grounded in the principles of competency-based human resource management. Blockchain and smart contract technologies are integrated to support independent recording, verification, and management of professional and non-professional credentials by nurses. At the same time, hospital human resource administrators continue to have the authority to conduct regulatory oversight and ensure compliance. The framework employs a three-layer architecture that includes controller, service, and repository components. These components coordinate access control, data processing, and blockchain-related operations. Seven smart contracts are designed within the framework. They automate credential ownership verification, credential updates, and compliance review processes. This design strengthens data integrity and reduces administrative workload. A prototype was implemented in a private blockchain environment to evaluate system performance. The results demonstrate stable and efficient operation. The average on-chain processing time per credential was 12.3 s. Median query latency ranged from 5 to 9 ms. These findings confirm that the framework achieves scalability and responsiveness comparable to Ethereum, while preserving data privacy and immutability. By combining decentralized trust mechanisms with credential management practices, the BCeANPDF framework offers a practical approach to supporting autonomous professional development. It also facilitates flexible management of the nursing workforce. Overall, the framework contributes to the development of transparent and competency-oriented healthcare institutions without increasing operational complexity.

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